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7333 Bringman > Exam 3- PNF part 2 > Flashcards

Exam 3- PNF part 2 Flashcards

1
Q

shoulder and pelvic girdle

A

~Anterior depression and posterior elevation

~Anterior elevation and posterior depression

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2
Q

some details when doing PNF

A

~No matter how much they have action the pt has, always start passively
~Need to have the pt relax to move them through passively
~make sure to assure them that you will not drop them
~Talk them though what you are doing (verbal), have them watch (visual), then have them do it
~Make sure to grab the distal part of the limb

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3
Q

RI- what does it stand for

A

Rhythmic initiation

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4
Q

RI- Description

A

movement is first passive, then progressive to active assisted, then to active motion thru increments of range

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5
Q

RI- Basis

A

~slow rhythmical motion acts to inhibit arousal (RAS) and achieve relaxation
~movement is thru the available range, avoiding a protective response from pt
~movement is slow and maintained, avoiding quick stretches

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6
Q

RI- Application

A

~pts who are unable to initiate movement due to increased tone
~use to teach an activity
~pts with limited ROM due to increased tone

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7
Q

RI- other info

A

~How we should teach a pt how to teach a PNF pattern
~May have to do in passive stage for longer when pt has high tone; if we want to relax the pt
~Painful pts- can help the pt relax with a lot of slow passive movements (guarding)

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8
Q

RR- what does it stand for?

A

Rhythmic rotation

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9
Q

RR- Description

A

~the pt is relaxed

~the PT slowly and passively moves the part thru range while slowly rotating and derotating the part on its axis

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10
Q

RR- Basis

A

~slow and rhythmical motion acts to inhibit (RAS)

~rotary movements seam to unlock and relax muscle

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11
Q

RR- Application

A

~for pts whose spasticity increases markedly with active movement
~pts with spasticity and no active movement

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12
Q

RR- other info

A

~Add a rotary component

~Can unlock jt even more- try and help the pt relax and get them to move even more

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13
Q

HRAM- what does it stand for?

A

Hold relax active movement

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14
Q

HRAM- Description

A

~ISOMETRIC contraction in shortened range of a pattern against graded resistance the HOLD is build up
~pt is given RELAX command
~when PT feels pt relax, PT quickly movements pt to lengthened range of pattern
~applying a quick stretch, PT gives appropriate command to have pt ACTIVELY return to shortened range of pattern
~PT may assist, track, or resist during active phase

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15
Q

HRAM- Basis

A

~hold is short range increases muscle spindles sensitivity so that during the quick stretch in the lengthened range muscle spindle discharge is maximized
~commands are given in appropriate manner to facilitate arousal via RAS
~resistance during active phase stimulate isotonics

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16
Q

HRAM- Application

A

pt with weakness and/or unable to initiate movement from lengthened range

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17
Q

HRAM- other info

A

~Lengthened- Physiological overflow- easier to create a contraction
~hoping that the neuro will learn to contract from a more lengthen position
~Hoping that the isometric buildup will help cue the nervous system that this is the muscle they are trying to contract at a more stretched position (where it is having difficulty contracting at a lengthened state - lengthened sarcomeres).
~Helpful for total knee pts

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18
Q

HR- what does it stand for?

A

Hold relax

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19
Q

HR- Description

A

~technique is performed at the point of limitation in range
~pt may actively move to (or passively) that point of limitation the PR resists ISOMETRIC contraction for the range-limiting pattern; resistance is built up to pt tolerance (maximal) and then maintained (no jt motion is allowed)
~command to RELAX is given as the resistance is changed to support the part
~when relaxation is felt, the pt is asked to actively more into the desired motion

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20
Q

HR- Basis

A

~GTO firing will inhibit the range limiting pattern

~having pt activity move into desired pattern will result in reciprocal inhibition of the range limiting pattern

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21
Q

HR- Application

A

~when pt has pain on movement

~used when involved joint does not have a large rotary component

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22
Q

HR- other info

A

~If you push the muscle to fatigue so that you can get the ROM
~Will guard bc they will don’t want to go into the range
~If the jt has a large rotary comp, can do CR

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23
Q

CR- what does it stand for?

A

Contract relax

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24
Q

CR- Description

A

~technique is done at the point of limitation in range
~pt actively moves to that point
~PT resists the range limiting pattern such that an ISOTONIC contraction for rotary component and an ISOMETRIC contraction of the other components are achieved
~when the pt has moved thru the full range of the rotary motion, the command to RELAX is given as the resistance is changed to support the limb
~when relaxation has occurred, the pt moves to the new range, or is passively moved by PT

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25
Q

CR- Basis

A

~when pt actively moves to range limited pattern point, the range limiting pattern is reciprocally inhibited
~rotatory movements appear to unlock or relax; GTO inhibit range limited pattern

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26
Q

CR- Application

A

when involved joint has large rotary component and when motion does not increase pain

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27
Q

CR- other info

A

~Add rotation
~what to do a large rotary component- we are fatiguing the 2 muscles groups that are preventing the movement
~If problem with flex and IR, push into flex then ER all the way then flex and IR at the same time

28
Q

AI- what does it stand for?

A

Alternating isometrics

29
Q

AI- Description

A

~intermediate step to RS
~pt resists an ISOMETRIC contraction of one pattern immediately followed with resistance to ISOMETIC contraction of antagonist pattern
~resistance is built up within each shift and over entire sequence

30
Q

AI- Application

A

use for balancing tone; when used for this purpose, one side of joint is emphasized, often used in trunk stabilization

31
Q

AI- other info

A

~Build stability or jt or jts; great for the trunk/ balance

~Like low grade perturbations

32
Q

RS- what does it stand for?

A

Rhythmic stabilization

33
Q

RS- Description

A

~simultaneous co-contraction (isometric) of antagonistic patterns (resisted flexion of elbow at wrist at the same time resisted extension of shoulder at extensor surface near elbow, then change) by alternating the antagonistic patterns resisted by each hand
~resistance is gradually built up within each shift and over the entire sequence

34
Q

RS- Basis

A

~co-contraction effects both sides of the joint

~maintained resistance facilitates stabilization

35
Q

RS- Application

A

when pt has limited ROM due to splinting or pain’ appropriate to develop stability of head, neck, and trunk

36
Q

RS- other info

A

~AI with rotation in the trunk

37
Q

SR- what does it stand for?

A

Slow reversals

38
Q

SR- Description

A

~isotonic contraction of one pattern followed by an isotonic contraction of the antagonist pattern
~movements are slow and rhythmical
~resistance may be used, but is usually minimal

39
Q

SR- Basis

A

the slow rhythmical movements inhibit arousal via RAS, resistance stimulates activation

40
Q

SR- Application

A

~to teach an activity
~when pt has weakness limiting ability to initiate movement
~when increased tone limits initiation of movement or motion thru range

41
Q

SR- other info

A

D1 flex, D1 ext- do one action then the opposite movement (slowly)

42
Q

SRH- what does it stand for?

A

Slow reversal hold

43
Q

SRH- Description

A

~pt isotonically contracts the agonist, followed by and isometric contraction of the agonist
~pt changes direction (reversal) by repeating same sequence of contractions of the antagonist
~pattern does not relax before shifting to opposing pattern

44
Q

SRH DEC- description

A

thru decrement of range- the PT gradually decreases the amount of ROM that the pt moves thru

45
Q

SRH INC- description

A

thru increment of range- the PT gradually increases the amount of ROM that the pt moves thru

46
Q

SRH- Basis

A

aids in the transition from mobility to stability

47
Q

SRH- Application

A

to develop endurance and strength within a pattern of movement

48
Q

SRH DEC- application

A

when a pt cannot stabilize (ataxic) builds up the ability to stabilize

49
Q

SRH INC- application

A

~when a pt does not have control thru the full range of an activity
~builds up ability to move through full range with control

50
Q

SRH- other info

A

Usually done on a pt with ataxia- pt has movement, but somewhere in the range, the movement does not have the ability to do what they want it to/ there is not stability in the range

51
Q

SRH DEC- other info

A

~decrease the range of movement that the pt gets to do at first and then they will increase when they are able to do it better
~do isometrics at the end of the range where they are still stable

52
Q

SRH INC- other info

A

slowly increase as the movement becomes more stable

53
Q

AR- what does it stand for?

A

Agonistic reversal

54
Q

AR- Description

A

~a rhythmical reversal from shortening to lengthening contractions of a muscle group
~start out slowly
~Concentric to Isometric to Eccentric to Isometric contractions

55
Q

AR- Basis

A

rhythmical slow movement is used to promote functional stability in a smooth manner

56
Q

AR- Application

A

~use when weakness prevents the pt from controlling his body thru the full range of a lengthening contraction
~use when spasticity interferes with the pt’s ability to perform lengthening contractions

57
Q

AR- other info

A

~Go through range concentrically then eccentrically
~hold isometic at top and bottom
~good with bridges
~Can do in tall kneeling and quads

58
Q

RP- what does it stand for?

A

Resisted progression

59
Q

RP- Description

A

resisted isotonic movement in a pattern of locomotion (gait)

60
Q

RP- Basis

A

resistance results in overflow

61
Q

RP- Application

A

~use to develop endurance
~use to promote motor learning of an activity
~use too develop strength

62
Q

RP- other info

A

~Crawling, tall knelling, and gait

~pulling as they are moving hips/ knees/ hands/ etc

63
Q

RC- what does it stand for?

A

Repeated contraction

64
Q

RC- Description

A

~pt isotonically contracts the weak pattern
~isometric contraction is asked for at the point for at the point the pattern deteriorates
~isometric is built up
~quick stretch is applied to the whole pattern as the pt is asked to move again
~at the end of the range, an isometric contraction is performed; the sequence is repeated

65
Q

RC- Basis

A

muscle spindle facilitation and overflow

66
Q

RC- Application

A

use when pt has weakness of whole pattern

67
Q

RC- other info

A

~Forcing more muscle spindles to fire

~Need to relearn the movement patterns

7333 Bringman (23 decks)

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